Individual
JENNIFER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
644 EDEN PARK DR, CINCINNATI, OH 45202-6031
(866) 351-5875
Mailing address
644 EDEN PARK DR, CINCINNATI, OH 45202-6031
(866) 351-5875
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004204
LICENSE
OH
Enumeration date
01/15/2009
Last updated
03/04/2015
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